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Full Time Remote Python Jobs New York
New York Licensed Dietitian
compassionate care to skilled nursing residents Meet DOH/state/federal and Company standards consistently Collaborate with the interdisciplinary team and participate in care conferences Required Qualifications Registered Dietitian credentials and CDN in New...York State Master's degree with completion of required coursework and supervised practice, or Bachelor's degree for those eligible for the registration exam prior to 1/1/24 Eligibility for Registered Dietitian Nutritionist (RD/RDN) by the Commission
New York Oncology Nurse
registered nurse (RN) license required At least 2 years of nursing experience, including 1 year in solid tumor oncology nursing Oncology-related certifications required or to be obtained within 2 years of hire Compact + single state licensure in New...York and/or Illinois is preferred Ability to work up to 2 holidays per year as needed
New York Certified Peer Specialist
encouragement, goal progress check-ins, and support Review patient status and escalate urgent matters to care team providers Document patient interactions and coordinate care with the patient care team Required Qualifications Current and valid New...York State Certified Peer Specialist Certification (NYCPS) One year of Peer Specialist experience with adults aged 18+ with a mental health diagnosis Current or former recipient of mental health services Knowledge in recovery and overcoming challenges
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New York Compliance Vice President
A company is looking for a Vice President, Compliance. Key Responsibilities Ensure compliance with state and federal regulations related to health insurance Develop and implement compliance policies and procedures, including oversight of compliance programs Conduct compliance audits and report
New York Licensed Claims Specialist
A company is looking for a Senior Claims Specialist to analyze and process claims while acting as a liaison between the insured and Company carrier. Key Responsibilities Evaluate claims and initiate necessary corrections to ensure accuracy Manage all claim documentation and ensure timely
New York Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Prior Authorization. Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coordinate with healthcare providers and interdepartmental teams to ensure timely review and authorization
New York Entitlement Advocate
A company is looking for an Entitlement Advocate to assist members and prospects in obtaining and retaining financial entitlements. Key Responsibilities Handle inbound and outbound calls to assist customers with Medicaid and Medicare applications Educate and assess prospects for Medicaid
New York Licensed Optometrist
Communicate with patients through specialized video conference technology Analyze eye health and generate prescriptions for eyeglasses or contact lenses with Ophthalmic Technician support Required Qualifications, Training, and Education Current New...York state license as a Doctor of Optometry Experience with tele-optometry or remote patient care preferred Ability to work as an Independent Contractor Multiple state licenses are a plus Willingness to undergo any necessary credentialing and training
New York Licensed Utilization Manager
reviews Develops and monitors staff goals, providing feedback and conducting performance reviews Collaborates with medical staff to solve complex clinical problems and ensure appropriate resource allocation Required Qualifications Associate's degree New...York State Registered Nurse license Experience in managed care or healthcare industry in utilization management Knowledge of regulations governing medical management in managed care Experience with Microsoft Office Suite applications
New York Licensed Claim Specialist
A company is looking for a Senior Claim Specialist - Prime Specialty. Key Responsibilities Supervise a multi-person team and ensure effective communication of pertinent information Evaluate claims and reporting forms, making necessary corrections for accuracy Manage claim documentation and
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